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1912628769
KISHAN PATEL
HINESVILLE, GA
NPI
1912628769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: GA PT016239)
Enumeration Date
2022-09-09
Last Update Date
2022-09-09
Business Address
KISHAN PATEL DPT
475 S MAIN ST
HINESVILLE, GA 31313-4312
Phone number: 912-368-4131
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Mailing Address
KISHAN PATEL DPT
860 FOREST ST
HINESVILLE, GA 31313-4140
Phone number: 912-321-8719
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